Prevalence of anxiety, depression and kinesiophobia in patients with low back pain and their association with the symptoms of low back spinal pain

Trocoli, Tathiana O.; Botelho, Ricardo Vieira

doi:10.1016/j.rbre.2016.02.010

Cited by 31 publications

(44 citation statements)

References 25 publications

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“…25 Although the evidence showed a correlation between kinesiophobia and pain, it was not present when correlated with pain intensity (r=0.08 and p=0.76) and its interference (r=0.23 and p=0.37) of the QBDW. This result has already been described in the literature [30,38,39].…”

Section: Journal Of Spine Research and Surgery 11supporting

confidence: 86%

“…Although the correlation with the HADS anxiety in the study did not score statistically significant with kinesiophobia by the TSK (p <0.06), these could be related (r=0.46) due to the irrational fear that it exerts towards a (limb), fear (amygdala) and memory of this feeling (hypothalamus) [8,35]. This idea may also be based on literature findings, which observe that the higher the anxiety and major depression is the presence of kinesiophobia [10,30,36], although the correlation with depression by HADS in the present study was very low ( r=-0.08 and p=0.76).…”

Section: Discussionmentioning

confidence: 87%

“…Anxiety is described as a negative emotion of fear [25] that would be able to provoke impediments of certain activities and thus contribute to the functional incapacity and worsening of the pain [26] being able to decrease the QoL [27][28][29][30].…”

Section: Discussionmentioning

confidence: 99%

“…Although the correlation between depression with HADS with the other psychometric factors and the SF-36 domains was not statistically significant, the correlation coefficient was negative in all domains of the QoL questionnaire and positive with the other factors. This means that the greater the presence of depression, the more it favors the onset of catastrophism, kinesiophobia, anxiety, pain intensity, pain interference, and the lower the QoL [30,38,47]. Perhaps the presence of depression was not statistically relevant when correlated with QoL, because only a single person was able to achieve the depression cut-off point in the HADS.…”

Section: Journal Of Spine Research and Surgery 11mentioning

confidence: 99%

“…Although the present study does not make clear the order of events (whether there is or is no presence of anxiety and depression before pain, or if these occur before or after the presence of kinesiophobia and catastrophism), one can assume that Vlayen's model et al [10], a new way to understand the factors that interfere in the intensity of pain, interference of pain and QoL in these patients with chronic nonspecific neck pain. Taking into account the results and the discussion of the findings, there is first a painful event that added to the presence of anxiety, depression, catastrophism and kinesiophobia are able to intensify pain and interfere in the individual's life [10,30,36,43 ]. In addition, catastrophism and kinesiophobia are also capable of increasing the intensity and interference of pain [23,[49][50][51], although such correlation with kinesiophobia was not seen in the present study.…”

Section: Journal Of Spine Research and Surgery 11mentioning

confidence: 99%

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Psychometric Factors in Quality of Life and Pain Perception in Patients with Chronic Nonspecific Neck Pain

Bulhoes¹,

Rosa²,

Graniço³

et al. 2019

J Spine Res Surg

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Introduction: Nonspecific neck pain is the most common cause of neck symptoms and usually presents psychosocial aspects that make treatment difficult. Objective: Analyze the association of psychometric factors in quality of life and pain perception in patients with chronic nonspecific neck pain. Methodology: 17 individuals with chronic nonspecific neck pain submitted to an evaluation through validated questionnaires for pain, quality of life, kinesiophobia, catastrophism, anxiety and depression Results: Correlations with quality of life were observed between pain intensity in the domains of pain (r=-0.73; p= 0.001), general health status (r=-0.74 ; p=0.001) and limitation by social aspects (r=-0.60; p= 0.01); interference and functional capacity (r=-0.50 ; p= 0.04), physical limitations (r=-0.50; p=0.008), pain (r=-0.82; p= 0.001), condition general health (r=-0.65; p= 0.005) and limitation by social aspects (r=-0.57; p= 0.02); this correlation was also seen with catastrophism and limitation by social aspects (r=-0.65; p= 0.004); anxiety with functional capacity (r=-0.60; p=0.01), with pain (r=-0.59; p= 0.01) and social limitation (r=-0.60; p= 0.01). Pain intensity was significant when correlated with catastrophism (r=0.51; p=0.03), anxiety (r=0.55; p=0.02), and pain interference with catastrophism (r=0.70; p=0.002), anxiety (r= 0.49; p=0.05) and with the pain intensity itself (r=0.78; p=0.0003).

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Section: Journal Of Spine Research and Surgery 11supporting

confidence: 86%

Section: Discussionmentioning

confidence: 87%

Section: Discussionmentioning

confidence: 99%

Section: Journal Of Spine Research and Surgery 11mentioning

confidence: 99%

Section: Journal Of Spine Research and Surgery 11mentioning

confidence: 99%

See 3 more Smart Citations

Psychometric Factors in Quality of Life and Pain Perception in Patients with Chronic Nonspecific Neck Pain

Bulhoes¹,

Rosa²,

Graniço³

et al. 2019

J Spine Res Surg

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Effects of the combination of exercise and education in the treatment of low back and/or pelvic pain in pregnant women: Systematic review and meta‐analysis

Diez‐Buil,

Hernandez‐Lucas,

Leirós‐Rodríguez

et al. 2023

Intl J Gynecology & Obste

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BackgroundLumbopelvic pain is considered the most frequent complication during pregnancy.ObjectiveTo compare whether the combination of exercise with education is more effective for the treatment of low back and/or pelvic pain (PP) than each of these interventions separately in pregnant women.Search StrategyA systematic review was performed in WOS, PEDro, PubMed, Cochrane, and ClinicalTrials.gov. The terms used were low back pain, PP, pregnancy, pregnant woman, exercise, exercise therapy, health education, and prenatal education.Selection CriteriaThe PICO question was then chosen as follows: P—population: pregnant women with nonspecific low back pain or PP; I—intervention: exercise therapy plus health education; C—control: only exercise therapy or only health education; O—outcome: characteristics of pain, disability, and kinesophobia; S—study designs: randomized controlled trial.Data Collection and AnalysisTwo reviewers independently screened articles for eligibility. The following inclusion criteria were applied for the selection of studies: (i) published in the past 10 years; (ii) exercise plus health education was administered compared with a group receiving either exercise or education alone; and (iii) the sample consisted of pregnant women with nonspecific low back pain or PP. This review excluded: (i) nonrandomized controlled trials; and (ii) articles whose full text was not available. The meta‐analysis was performed using the random‐effects model, due to the observed heterogeneity.Main ResultsA total of 13 articles were selected. There is a significant decrease in pain in the combination of exercise and education compared with education alone (standardized mean difference, −0.29 [95% confidence interval, −0.47 to −0.11]). With respect to disability, there is a significant decrease in the exercise and education group compared with the group that only addressed education (standardized mean difference, −0.37 [95% CI, −0.60 to −0.14]). One article analyzed kinesophobia, reporting no significant changes.ConclusionThe combination of exercise and education seems to be more effective in reducing pain and disability in pregnant women with low back and/or PP than the use of education alone. In kinesophobia, the results found are not significant.

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Yellow flag on prognostic factors for non-specific chronic low back pain patients subjected to mini-invasive treatment: a cohort study

et al. 2020

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Objectives Research was conducted to study the efficacy of analgesic infiltration treatment in a well-selected population of patients with non-specific drug-resistant chronic low back pain. It studied the pain on a numeric rating scale and the physical and mental condition of patients using a short-form health survey-36, before and six months after invasive pain treatment. Design This is a prospective observational single center cohort study. Setting The study took place in the Multimodal Pain Therapy Unit of the IRCCS Institute of Neurological Sciences in Bologna, Italy. Subjects Four hundred and thirteen out of a total 538 patients admitted to the unit with non-specific drug-resistant chronic low back pain were enrolled in the study. Method Patients were enrolled with written consent between April 2017 and November 2018. The study assessed NRS, BDI and SF-36 scores before and six months after mini-invasive treatment. Results There is an inverse correlation between Mental Component Scale (MCS) and Physical component scale as measured by SF-36. Older patients in a worse physical condition but with a more positive outlook on their quality of life were more likely to improve after invasive treatment (p < 0.001). The BDI scale is more effective in the diagnosis of depression than MCS. Conclusions The prognostic value of MCS given to the patient before mini-invasive treatment could lead physicians to adopt a multimodal approach that includes consideration of the psychological features of pain and possibly antidepressant therapy.

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Prevalence of anxiety, depression and kinesiophobia in patients with low back pain and their association with the symptoms of low back spinal pain

Abstract: There was no association between the groups and anxiety and depression. However, there was a positive correlation between kinesiophobia and the Organic group. Studies of other patient samples are needed to confirm the reproducibility and validity of these data in other populations.

Cited by 31 publications

References 25 publications

Psychometric Factors in Quality of Life and Pain Perception in Patients with Chronic Nonspecific Neck Pain

Psychometric Factors in Quality of Life and Pain Perception in Patients with Chronic Nonspecific Neck Pain

Effects of the combination of exercise and education in the treatment of low back and/or pelvic pain in pregnant women: Systematic review and meta‐analysis

Yellow flag on prognostic factors for non-specific chronic low back pain patients subjected to mini-invasive treatment: a cohort study

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